Displaying 130351-130360 of 1611142 results.
ID:
130351
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
130352
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
130353
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
130354
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130355
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130356
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130357
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130358
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130359
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130360
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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