Displaying 129191-129200 of 1611142 results.
ID:
129191
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129192
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129193
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129194
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129195
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129196
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129197
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129198
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129199
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129200
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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