Displaying 128911-128920 of 1611142 results.
ID:
128911
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128912
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128913
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
128914
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
128915
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
128916
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1600774
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128917
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128918
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128919
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128920
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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