Displaying 127291-127300 of 1611142 results.
ID:
127291
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127292
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127293
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127294
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127295
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127296
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
127297
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127298
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127299
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127300
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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