Displaying 127961-127970 of 1611142 results.
ID:
127961
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
127962
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127963
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127964
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127965
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127966
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127967
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127968
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127969
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
127970
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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