Displaying 127501-127510 of 1611142 results.
ID:
127501
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127502
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127503
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127504
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127505
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127506
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127507
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
730988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127508
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127509
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127510
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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