Displaying 127841-127850 of 1611142 results.
ID:
127841
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127842
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127843
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127844
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127845
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127846
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127847
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127848
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127849
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127850
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
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