Displaying 129101-129110 of 1611142 results.
ID:
129101
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129102
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129103
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129104
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129105
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129106
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129107
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
213337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129108
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129109
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129110
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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