Displaying 130121-130130 of 1611142 results.
ID:
130121
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130122
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130123
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130124
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130125
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130126
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966524
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
130127
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
130128
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1539762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130129
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130130
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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