Displaying 131101-131110 of 1611142 results.
ID:
131101
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131102
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131103
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131104
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131105
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
131106
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131107
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131108
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131109
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131110
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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