Displaying 127041-127050 of 1611142 results.
ID:
127041
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1043582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127042
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1043574
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127043
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127044
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127045
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127046
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127047
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127048
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127049
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127050
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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