Displaying 127121-127130 of 1611142 results.
ID:
127121
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127122
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
892251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127123
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
892255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127124
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127125
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127126
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127127
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127128
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127129
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127130
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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