Displaying 129811-129820 of 1611142 results.
ID:
129811
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129812
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129813
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129814
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129815
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
207331
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129816
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
207346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129817
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
207361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129818
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129819
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129820
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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