Displaying 130671-130680 of 1611142 results.
ID:
130671
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130672
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130673
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130674
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130675
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130676
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130677
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130678
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130679
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
130680
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
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