Displaying 131201-131210 of 1611142 results.
ID:
131201
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131202
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
131203
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131204
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131205
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131206
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131207
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131208
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131209
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131210
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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