Displaying 131611-131620 of 1611142 results.
ID:
131611
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131612
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131613
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131614
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131615
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131616
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131617
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131618
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131619
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131620
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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