Displaying 134421-134430 of 1611142 results.
ID:
134421
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134422
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134423
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134424
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134425
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134426
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
134427
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
134428
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134429
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134430
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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