Displaying 130511-130520 of 1611142 results.
ID:
130511
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130512
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130513
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130514
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130515
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130516
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
130517
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130518
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130519
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130520
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
30
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