Displaying 130941-130950 of 1611142 results.
ID:
130941
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130942
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130943
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130944
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130945
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130946
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130947
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130948
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
130949
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
130950
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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