Displaying 130971-130980 of 1611142 results.
ID:
130971
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130972
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130973
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130974
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130975
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
130976
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130977
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130978
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130979
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
130980
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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