Displaying 130131-130140 of 1611142 results.
ID:
130131
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130132
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130133
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
130134
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130135
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130136
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130137
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130138
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130139
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130140
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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