Displaying 131041-131050 of 1611142 results.
ID:
131041
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131042
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131043
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131044
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131045
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131046
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131047
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131048
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131049
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131050
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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