Displaying 127241-127250 of 1611142 results.
ID:
127241
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127242
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127243
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127244
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127245
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127246
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127247
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127248
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127249
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127250
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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