Displaying 129031-129040 of 1611142 results.
ID:
129031
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129032
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129033
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129034
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129035
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129036
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129037
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129038
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129039
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129040
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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