Displaying 127191-127200 of 1611142 results.
ID:
127191
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127192
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127193
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127194
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
127195
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
127196
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
127197
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
127198
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
127199
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
127200
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
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