Displaying 129291-129300 of 1611142 results.
ID:
129291
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129292
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129293
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129294
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129295
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129296
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129297
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129298
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129299
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129300
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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