Displaying 126691-126700 of 1611142 results.
ID:
126691
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126692
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126693
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126694
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126695
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126696
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126697
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966250
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126698
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126699
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126700
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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