Displaying 127341-127350 of 1611142 results.
ID:
127341
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127342
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127343
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127344
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127345
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127346
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127347
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127348
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127349
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127350
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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