Displaying 130311-130320 of 1611142 results.
ID:
130311
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130312
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130313
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130314
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130315
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130316
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130317
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130318
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130319
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130320
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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