Displaying 127761-127770 of 1611142 results.
ID:
127761
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
127762
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
127763
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127764
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127765
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127766
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127767
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127768
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127769
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127770
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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