Displaying 126981-126990 of 1611142 results.
ID:
126981
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126982
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126983
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126984
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126985
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126986
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
126987
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126988
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126989
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
126990
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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