Displaying 127511-127520 of 1611142 results.
ID:
127511
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127512
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127513
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127514
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127515
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
127516
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127517
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127518
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
127519
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127520
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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