Displaying 126671-126680 of 1611142 results.
ID:
126671
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
126672
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126673
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126674
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126675
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126676
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
126677
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126678
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
126679
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126680
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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