Displaying 187731-187740 of 1611142 results.
ID:
187731
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
892355
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187732
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
892297
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187733
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
894942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187734
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
894970
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187735
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
351264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187736
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
904605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187737
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
904571
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187738
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187739
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187740
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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