Displaying 131511-131520 of 1611142 results.
ID:
131511
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131512
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131513
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131514
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131515
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131516
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131517
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131518
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131519
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131520
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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