Displaying 188051-188060 of 1611142 results.
ID:
188051
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
188052
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
188053
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
188054
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188055
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188056
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188057
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188058
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
188059
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
188060
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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