Displaying 128221-128230 of 1611142 results.
ID:
128221
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
128222
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128223
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
128224
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
128225
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
128226
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128227
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
284592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128228
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
284594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128229
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
284593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128230
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
284595
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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