Displaying 130441-130450 of 1611142 results.
ID:
130441
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130442
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
130443
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130444
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130445
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130446
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130447
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130448
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130449
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130450
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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