Displaying 131051-131060 of 1611142 results.
ID:
131051
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131052
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131053
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131054
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131055
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131056
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131057
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131058
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131059
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131060
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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