Displaying 187991-188000 of 1611142 results.
ID:
187991
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
187992
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187993
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187994
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187995
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187996
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
187997
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
187998
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
187999
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
188000
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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