Displaying 129481-129490 of 1611142 results.
ID:
129481
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
206902
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129482
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
129483
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
129484
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
129485
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129486
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
129487
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
129488
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
129489
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
28
ID:
129490
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
28
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