Displaying 129861-129870 of 1611142 results.
ID:
129861
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129862
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
966185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129863
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129864
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129865
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
616159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129866
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
616161
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129867
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
616163
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129868
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
129869
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129870
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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