Displaying 127671-127680 of 1611142 results.
ID:
127671
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127672
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127673
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127674
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127675
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127676
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127677
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127678
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127679
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
127680
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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