Displaying 131111-131120 of 1611142 results.
ID:
131111
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131112
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131113
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
131114
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131115
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131116
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131117
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131118
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131119
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
992441
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131120
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
992454
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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