Displaying 130191-130200 of 1611142 results.
ID:
130191
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130192
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130193
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130194
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130195
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130196
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130197
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
130198
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130199
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130200
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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