Displaying 126521-126530 of 1611142 results.
ID:
126521
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126522
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126523
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126524
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126525
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126526
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126527
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126528
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126529
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126530
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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