Displaying 187171-187180 of 1611142 results.
ID:
187171
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187172
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992695
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
187173
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992703
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187174
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992691
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187175
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992700
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187176
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187177
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187178
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187179
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187180
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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