Displaying 129021-129030 of 1611142 results.
ID:
129021
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129022
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129023
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129024
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
129025
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129026
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129027
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129028
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129029
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129030
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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