Displaying 130341-130350 of 1611142 results.
ID:
130341
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130342
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
130343
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
130344
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
130345
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
130346
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
130347
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
130348
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130349
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130350
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
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