Displaying 130371-130380 of 1611142 results.
ID:
130371
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130372
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130373
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130374
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130375
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130376
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130377
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130378
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130379
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130380
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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