Displaying 130481-130490 of 1611142 results.
ID:
130481
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130482
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130483
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130484
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130485
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130486
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130487
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130488
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130489
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130490
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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