Displaying 127811-127820 of 1611142 results.
ID:
127811
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127812
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127813
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127814
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127815
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127816
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127817
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127818
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127819
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127820
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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