Displaying 127131-127140 of 1611142 results.
ID:
127131
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127132
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127133
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
127134
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
127135
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
127136
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127137
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127138
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127139
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127140
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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