Displaying 128641-128650 of 1611142 results.
ID:
128641
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128642
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128643
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128644
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128645
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128646
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128647
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128648
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128649
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128650
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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