Displaying 129631-129640 of 1611142 results.
ID:
129631
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129632
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129633
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129634
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1797888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129635
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129636
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129637
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129638
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129639
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129640
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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