Displaying 131941-131950 of 1611142 results.
ID:
131941
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131942
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131943
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131944
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131945
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131946
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131947
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
131948
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131949
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131950
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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