Displaying 128461-128470 of 1611142 results.
ID:
128461
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128462
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128463
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128464
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128465
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128466
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128467
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128468
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128469
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128470
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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