Displaying 127801-127810 of 1611142 results.
ID:
127801
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127802
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127803
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127804
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127805
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127806
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127807
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127808
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127809
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127810
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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