Displaying 127541-127550 of 1611142 results.
ID:
127541
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127542
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127543
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127544
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127545
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
127546
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
127547
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
127548
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
127549
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127550
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
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