Displaying 128591-128600 of 1611142 results.
ID:
128591
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128592
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128593
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128594
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128595
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128596
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128597
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
128598
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128599
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128600
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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