Displaying 127081-127090 of 1611142 results.
ID:
127081
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
615107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127082
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127083
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
847626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127084
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127085
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127086
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127087
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127088
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
127089
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
127090
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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