Displaying 128751-128760 of 1611142 results.
ID:
128751
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128752
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128753
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
128754
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
128755
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128756
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128757
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128758
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128759
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128760
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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