Displaying 189541-189550 of 1611142 results.
ID:
189541
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
189542
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049586
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
189543
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
189544
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049601
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189545
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189546
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189547
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
849831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189548
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189549
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189550
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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