Displaying 127871-127880 of 1611142 results.
ID:
127871
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127872
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127873
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127874
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127875
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127876
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127877
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127878
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
127879
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
127880
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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