Displaying 128881-128890 of 1611142 results.
ID:
128881
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
128882
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
128883
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
128884
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
128885
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128886
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
128887
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128888
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128889
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
128890
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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