Displaying 131121-131130 of 1611142 results.
ID:
131121
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131122
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131123
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131124
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131125
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131126
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
131127
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131128
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131129
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131130
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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