Displaying 188351-188360 of 1611142 results.
ID:
188351
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
188352
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
188353
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
188354
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
188355
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
188356
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
188357
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
188358
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188359
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188360
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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