Displaying 127431-127440 of 1611142 results.
ID:
127431
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127432
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127433
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127434
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127435
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127436
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127437
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127438
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127439
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127440
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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