Displaying 127791-127800 of 1611142 results.
ID:
127791
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127792
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127793
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127794
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127795
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127796
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127797
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127798
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127799
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127800
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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