Displaying 131591-131600 of 1611142 results.
ID:
131591
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131592
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131593
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
131594
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
131595
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
131596
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131597
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131598
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131599
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131600
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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