Displaying 130401-130410 of 1611142 results.
ID:
130401
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130402
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130403
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130404
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130405
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130406
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130407
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130408
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130409
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130410
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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