Displaying 128681-128690 of 1611142 results.
ID:
128681
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128682
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966233
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128683
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128684
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966237
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128685
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128686
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128687
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128688
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128689
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
128690
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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