Displaying 127161-127170 of 1611142 results.
ID:
127161
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127162
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127163
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127164
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127165
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127166
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127167
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127168
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127169
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127170
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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