Displaying 126651-126660 of 1611142 results.
ID:
126651
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126652
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126653
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126654
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126655
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126656
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126657
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126658
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
207331
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126659
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
207346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126660
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
207361
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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