Displaying 127781-127790 of 1611142 results.
ID:
127781
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127782
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127783
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127784
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127785
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127786
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127787
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127788
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127789
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
854901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127790
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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