Displaying 129731-129740 of 1611142 results.
ID:
129731
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3600
Qty Limit Days:
30
ID:
129732
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
129733
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129734
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129735
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129736
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129737
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129738
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129739
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
343033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129740
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197579
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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