Displaying 126841-126850 of 1611142 results.
ID:
126841
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
126842
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
126843
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126844
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126845
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126846
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126847
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126848
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126849
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126850
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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