Displaying 131621-131630 of 1611142 results.
ID:
131621
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131622
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
131623
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
131624
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131625
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
131626
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
131627
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
131628
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
131629
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
131630
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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