Displaying 134491-134500 of 1611142 results.
ID:
134491
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134492
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134493
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134494
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134495
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134496
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134497
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134498
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134499
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
134500
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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