Displaying 129561-129570 of 1611142 results.
ID:
129561
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129562
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129563
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129564
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
731281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129565
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129566
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129567
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129568
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129569
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1736863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129570
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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