Displaying 127301-127310 of 1611142 results.
ID:
127301
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127302
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127303
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127304
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127305
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127306
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127307
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127308
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127309
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127310
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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