Displaying 127621-127630 of 1611142 results.
ID:
127621
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127622
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127623
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127624
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127625
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127626
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127627
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127628
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127629
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127630
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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