Displaying 128061-128070 of 1611142 results.
ID:
128061
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128062
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128063
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
128064
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128065
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128066
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128067
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128068
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128069
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128070
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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