Displaying 129621-129630 of 1611142 results.
ID:
129621
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
129622
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
129623
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
129624
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
129625
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
129626
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
129627
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
129628
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
129629
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
129630
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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