Displaying 127601-127610 of 1611142 results.
ID:
127601
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127602
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
127603
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
127604
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
127605
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127606
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127607
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127608
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127609
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
127610
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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