Displaying 188481-188490 of 1611142 results.
ID:
188481
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188482
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188483
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
28
ID:
188484
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188485
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
188486
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
188487
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
188488
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188489
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188490
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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