Displaying 189551-189560 of 1611142 results.
ID:
189551
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189552
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189553
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189554
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189555
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189556
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189557
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998774
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
189558
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998772
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
30
ID:
189559
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797902
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
189560
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797921
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
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