Displaying 130541-130550 of 1611142 results.
ID:
130541
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130542
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130543
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130544
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130545
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130546
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130547
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
380
Qty Limit Days:
30
ID:
130548
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130549
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
20
ID:
130550
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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