Displaying 129381-129390 of 1611142 results.
ID:
129381
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129382
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
129383
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
129384
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
129385
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129386
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129387
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129388
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129389
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129390
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
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