Displaying 127821-127830 of 1611142 results.
ID:
127821
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127822
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127823
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127824
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127825
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127826
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127827
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127828
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127829
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127830
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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