Displaying 130291-130300 of 1611142 results.
ID:
130291
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130292
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130293
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130294
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130295
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130296
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130297
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130298
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130299
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130300
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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