Displaying 127201-127210 of 1611142 results.
ID:
127201
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
127202
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
127203
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
127204
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127205
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127206
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127207
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127208
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127209
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127210
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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