Displaying 127921-127930 of 1611142 results.
ID:
127921
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127922
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127923
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127924
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127925
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127926
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
127927
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127928
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
127929
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127930
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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