Displaying 126621-126630 of 1611142 results.
ID:
126621
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126622
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126623
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126624
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126625
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126626
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126627
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126628
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126629
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126630
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
702296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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