Displaying 130281-130290 of 1611142 results.
ID:
130281
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130282
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130283
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130284
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
130285
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
130286
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
130287
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130288
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130289
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130290
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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