Displaying 129221-129230 of 1611142 results.
ID:
129221
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129222
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129223
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129224
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129225
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
129226
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129227
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
129228
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129229
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129230
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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