Displaying 129081-129090 of 1611142 results.
ID:
129081
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129082
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129083
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129084
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129085
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129086
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129087
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129088
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129089
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129090
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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