Displaying 128161-128170 of 1611142 results.
ID:
128161
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128162
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128163
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128164
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
128165
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
128166
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
128167
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
128168
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128169
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
402252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128170
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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