Displaying 126971-126980 of 1611142 results.
ID:
126971
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126972
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126973
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966524
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
126974
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
126975
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1539762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126976
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
126977
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126978
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126979
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
126980
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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