Displaying 129231-129240 of 1611142 results.
ID:
129231
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129232
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129233
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129234
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129235
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129236
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129237
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129238
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129239
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129240
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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