Displaying 128931-128940 of 1611142 results.
ID:
128931
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128932
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128933
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128934
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128935
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128936
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128937
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
128938
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128939
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128940
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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