Displaying 126681-126690 of 1611142 results.
ID:
126681
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126682
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
126683
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126684
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126685
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126686
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126687
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126688
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966271
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126689
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126690
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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