Displaying 131441-131450 of 1611142 results.
ID:
131441
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131442
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131443
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131444
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
131445
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
131446
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131447
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131448
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131449
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131450
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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