Displaying 130521-130530 of 1611142 results.
ID:
130521
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130522
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130523
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130524
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130525
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130526
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
130527
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130528
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130529
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
130530
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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