Displaying 189211-189220 of 1611142 results.
ID:
189211
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
189212
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189213
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
189214
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189215
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
189216
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189217
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189218
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189219
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189220
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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