Displaying 134641-134650 of 1611142 results.
ID:
134641
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134642
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
134643
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134644
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134645
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134646
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134647
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134648
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134649
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134650
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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