Displaying 130111-130120 of 1611142 results.
ID:
130111
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130112
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130113
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130114
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130115
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130116
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130117
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130118
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130119
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130120
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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