Displaying 188431-188440 of 1611142 results.
ID:
188431
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188432
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188433
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188434
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188435
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188436
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188437
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188438
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188439
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188440
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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