Displaying 130421-130430 of 1611142 results.
ID:
130421
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130422
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130423
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130424
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130425
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
238154
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
130426
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
130427
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130428
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130429
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130430
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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