Displaying 130831-130840 of 1611142 results.
ID:
130831
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130832
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130833
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130834
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130835
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130836
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130837
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130838
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130839
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130840
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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