Displaying 126551-126560 of 1611142 results.
ID:
126551
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126552
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126553
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126554
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126555
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126556
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126557
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126558
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1500
Qty Limit Days:
30
ID:
126559
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
977860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126560
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3900
Qty Limit Days:
30
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