Displaying 131451-131460 of 1611142 results.
ID:
131451
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131452
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131453
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131454
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
866144
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131455
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131456
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131457
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131458
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131459
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131460
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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