Displaying 130231-130240 of 1611142 results.
ID:
130231
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130232
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130233
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130234
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130235
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130236
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130237
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
130238
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
130239
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130240
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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