Displaying 189141-189150 of 1611142 results.
ID:
189141
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189142
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189143
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
189144
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189145
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189146
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
189147
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
189148
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189149
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189150
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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