Displaying 126531-126540 of 1611142 results.
ID:
126531
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126532
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126533
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
352228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126534
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
126535
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126536
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126537
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126538
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126539
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126540
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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