Displaying 130551-130560 of 1611142 results.
ID:
130551
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130552
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130553
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130554
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130555
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130556
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130557
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130558
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130559
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130560
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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