Displaying 129211-129220 of 1611142 results.
ID:
129211
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1486452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129212
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1485332
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129213
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1543553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129214
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1422081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129215
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1427300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129216
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129217
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1727521
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129218
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129219
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129220
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
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