Displaying 127221-127230 of 1611142 results.
ID:
127221
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127222
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127223
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127224
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127225
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127226
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127227
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127228
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127229
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127230
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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