Displaying 127831-127840 of 1611142 results.
ID:
127831
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127832
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127833
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127834
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127835
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127836
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127837
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127838
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127839
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127840
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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