Displaying 188511-188520 of 1611142 results.
ID:
188511
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
188512
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
188513
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
188514
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
188515
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
188516
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188517
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188518
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188519
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188520
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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