Displaying 131521-131530 of 1611142 results.
ID:
131521
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131522
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131523
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131524
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131525
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131526
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131527
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
131528
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131529
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131530
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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