Displaying 127911-127920 of 1611142 results.
ID:
127911
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127912
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127913
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127914
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127915
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127916
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127917
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127918
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127919
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127920
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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