Displaying 130721-130730 of 1611142 results.
ID:
130721
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130722
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1010606
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130723
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307063
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130724
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130725
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
130726
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130727
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130728
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
130729
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
130730
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
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