Displaying 129161-129170 of 1611142 results.
ID:
129161
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129162
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129163
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129164
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129165
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129166
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129167
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129168
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129169
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129170
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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