Displaying 129091-129100 of 1611142 results.
ID:
129091
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129092
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129093
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
129094
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
129095
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
129096
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129097
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129098
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129099
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129100
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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