Displaying 130821-130830 of 1611142 results.
ID:
130821
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130822
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130823
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130824
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130825
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130826
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130827
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130828
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130829
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130830
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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