Displaying 189431-189440 of 1611142 results.
ID:
189431
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189432
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189433
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189434
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
205917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189435
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189436
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
205923
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189437
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
205921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189438
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
205912
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189439
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
28
ID:
189440
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
212218
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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