Displaying 130331-130340 of 1611142 results.
ID:
130331
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
130332
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
130333
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
130334
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
130335
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
130336
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
130337
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
130338
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130339
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130340
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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