Displaying 129971-129980 of 1611142 results.
ID:
129971
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129972
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129973
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129974
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129975
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
129976
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
129977
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129978
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129979
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
129980
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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