Displaying 129591-129600 of 1611142 results.
ID:
129591
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129592
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
607579
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129593
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129594
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129595
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129596
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129597
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
129598
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129599
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129600
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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