Displaying 127171-127180 of 1611142 results.
ID:
127171
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127172
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127173
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127174
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127175
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127176
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127177
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127178
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127179
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127180
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
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