Displaying 128081-128090 of 1611142 results.
ID:
128081
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128082
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128083
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
128084
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128085
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
128086
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
128087
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
128088
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128089
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128090
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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