Displaying 1191-1200 of 1611142 results.
ID:
1191
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
1192
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1193
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1194
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1195
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1196
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1197
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1198
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1199
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
1200
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
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