Displaying 134951-134960 of 1611142 results.
ID:
134951
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134952
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134953
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134954
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134955
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134956
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134957
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373337
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134958
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134959
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
134960
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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