Displaying 130301-130310 of 1611142 results.
ID:
130301
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130302
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130303
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130304
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
130305
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130306
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130307
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130308
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130309
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130310
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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