Displaying 128511-128520 of 1611142 results.
ID:
128511
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128512
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128513
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128514
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128515
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128516
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128517
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128518
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128519
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128520
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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