Displaying 131581-131590 of 1611142 results.
ID:
131581
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131582
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131583
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131584
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131585
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131586
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131587
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131588
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131589
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131590
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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