Displaying 127571-127580 of 1611142 results.
ID:
127571
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127572
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127573
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127574
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127575
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127576
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127577
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127578
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127579
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127580
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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