Displaying 128991-129000 of 1611142 results.
ID:
128991
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
128992
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128993
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128994
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128995
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128996
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128997
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128998
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128999
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129000
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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