Displaying 130931-130940 of 1611142 results.
ID:
130931
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130932
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130933
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130934
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130935
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130936
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130937
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130938
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130939
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130940
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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