Displaying 130321-130330 of 1611142 results.
ID:
130321
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130322
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130323
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130324
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130325
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130326
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130327
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130328
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
130329
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
130330
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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