Displaying 126851-126860 of 1611142 results.
ID:
126851
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1876397
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126852
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126853
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126854
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126855
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126856
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126857
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126858
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126859
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
126860
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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