Displaying 131781-131790 of 1611142 results.
ID:
131781
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131782
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131783
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131784
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131785
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131786
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131787
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131788
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
849827
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131789
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131790
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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