Displaying 127551-127560 of 1611142 results.
ID:
127551
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127552
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127553
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127554
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127555
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127556
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127557
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127558
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127559
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127560
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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