Displaying 128971-128980 of 1611142 results.
ID:
128971
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128972
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128973
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128974
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128975
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128976
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128977
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128978
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128979
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
128980
Formulary ID:
00021052
Formulary Version:
17
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1920
Qty Limit Days:
30
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