Displaying 127091-127100 of 1611142 results.
ID:
127091
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127092
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
127093
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127094
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127095
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127096
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127097
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127098
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127099
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127100
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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