Displaying 128731-128740 of 1611142 results.
ID:
128731
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128732
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128733
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1809471
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128734
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
128735
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128736
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128737
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128738
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128739
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
850
Qty Limit Days:
30
ID:
128740
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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