Displaying 129651-129660 of 1611142 results.
ID:
129651
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129652
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129653
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129654
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129655
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129656
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1000089
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129657
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129658
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129659
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129660
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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