Displaying 131481-131490 of 1611142 results.
ID:
131481
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131482
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131483
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131484
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131485
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131486
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131487
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198224
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131488
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131489
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131490
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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