Displaying 126941-126950 of 1611142 results.
ID:
126941
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126942
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126943
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126944
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126945
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126946
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126947
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126948
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126949
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126950
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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