Displaying 130661-130670 of 1611142 results.
ID:
130661
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130662
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130663
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130664
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130665
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130666
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130667
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130668
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130669
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130670
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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