Displaying 189361-189370 of 1611142 results.
ID:
189361
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189362
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189363
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189364
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189365
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189366
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189367
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189368
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189369
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189370
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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