Displaying 127521-127530 of 1611142 results.
ID:
127521
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
127522
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127523
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127524
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127525
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127526
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127527
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127528
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127529
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127530
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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