Displaying 130461-130470 of 1611142 results.
ID:
130461
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130462
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130463
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130464
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130465
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130466
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130467
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130468
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130469
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130470
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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