Displaying 128031-128040 of 1611142 results.
ID:
128031
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128032
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128033
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128034
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128035
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128036
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128037
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128038
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128039
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128040
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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