Displaying 128871-128880 of 1611142 results.
ID:
128871
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
730781
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128872
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128873
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128874
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128875
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861379
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128876
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
861383
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128877
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128878
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128879
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128880
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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