Displaying 131151-131160 of 1611142 results.
ID:
131151
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131152
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131153
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131154
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131155
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
780
Qty Limit Days:
30
ID:
131156
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131157
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131158
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131159
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131160
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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