Displaying 126781-126790 of 1611142 results.
ID:
126781
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126782
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126783
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126784
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126785
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
603103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126786
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
106346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
110
Qty Limit Days:
30
ID:
126787
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1098649
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126788
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1098670
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126789
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126790
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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