Displaying 187241-187250 of 1611142 results.
ID:
187241
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187242
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
187243
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
187244
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187245
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187246
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
187247
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
187248
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187249
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187250
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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