Displaying 130031-130040 of 1611142 results.
ID:
130031
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130032
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130033
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130034
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130035
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130036
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130037
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130038
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130039
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870230
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
130040
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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