Displaying 126461-126470 of 1611142 results.
ID:
126461
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
126462
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
126463
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
126464
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
126465
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
126466
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
126467
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
126468
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
126469
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
126470
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
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