Displaying 129011-129020 of 1611142 results.
ID:
129011
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
979468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129012
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
979464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129013
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
979471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129014
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198188
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129015
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313134
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129016
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129017
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129018
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129019
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129020
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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