Displaying 128091-128100 of 1611142 results.
ID:
128091
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
128092
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128093
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128094
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128095
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128096
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128097
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128098
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128099
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128100
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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