Displaying 127631-127640 of 1611142 results.
ID:
127631
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127632
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
127633
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127634
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127635
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127636
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127637
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127638
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127639
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127640
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1304988
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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