Displaying 134711-134720 of 1611142 results.
ID:
134711
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134712
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134713
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134714
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134715
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134716
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134717
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134718
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134719
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
134720
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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