Displaying 131391-131400 of 1611142 results.
ID:
131391
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131392
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131393
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131394
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131395
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131396
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131397
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131398
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131399
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131400
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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