Displaying 126471-126480 of 1611142 results.
ID:
126471
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
126472
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
126473
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126474
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126475
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126476
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126477
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126478
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126479
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126480
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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