Displaying 129391-129400 of 1611142 results.
ID:
129391
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129392
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129393
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129394
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129395
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129396
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129397
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129398
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129399
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129400
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
201912
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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