Displaying 130911-130920 of 1611142 results.
ID:
130911
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130912
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043025
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130913
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1043031
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130914
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130915
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1372999
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130916
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
130917
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130918
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130919
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130920
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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