Displaying 131921-131930 of 1611142 results.
ID:
131921
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131922
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131923
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131924
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131925
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131926
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131927
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131928
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131929
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131930
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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