Displaying 129181-129190 of 1611142 results.
ID:
129181
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129182
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
129183
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129184
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129185
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129186
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129187
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129188
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129189
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129190
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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