Displaying 131281-131290 of 1611142 results.
ID:
131281
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131282
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
131283
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
131284
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
131285
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131286
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131287
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
131288
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131289
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131290
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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