Displaying 131671-131680 of 1611142 results.
ID:
131671
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
131672
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131673
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131674
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131675
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131676
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131677
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131678
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131679
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131680
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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