Displaying 127311-127320 of 1611142 results.
ID:
127311
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127312
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127313
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127314
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127315
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127316
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127317
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127318
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127319
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127320
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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