Displaying 129131-129140 of 1611142 results.
ID:
129131
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129132
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129133
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
129134
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
129135
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129136
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129137
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129138
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
129139
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
129140
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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