Displaying 127611-127620 of 1611142 results.
ID:
127611
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127612
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127613
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127614
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127615
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127616
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127617
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127618
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127619
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127620
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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