Displaying 131011-131020 of 1611142 results.
ID:
131011
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131012
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131013
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
131014
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131015
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131016
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131017
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131018
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131019
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131020
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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