Displaying 129831-129840 of 1611142 results.
ID:
129831
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129832
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129833
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
129834
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129835
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
129836
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129837
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129838
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129839
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
129840
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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