Displaying 129611-129620 of 1611142 results.
ID:
129611
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
129612
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129613
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129614
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129615
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
129616
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
129617
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
129618
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
129619
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
129620
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
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