Displaying 129931-129940 of 1611142 results.
ID:
129931
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129932
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129933
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129934
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129935
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129936
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129937
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129938
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129939
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129940
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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