Displaying 128481-128490 of 1611142 results.
ID:
128481
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128482
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128483
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128484
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128485
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128486
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
1
ID:
128487
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128488
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
128489
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
999
ID:
128490
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
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