Displaying 189491-189500 of 1611142 results.
ID:
189491
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189492
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
189493
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
189494
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
189495
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
189496
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
189497
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
189498
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
189499
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
189500
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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