Displaying 130271-130280 of 1611142 results.
ID:
130271
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130272
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130273
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130274
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130275
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130276
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130277
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130278
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130279
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130280
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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