Displaying 189561-189570 of 1611142 results.
ID:
189561
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716079
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189562
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716063
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189563
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716067
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189564
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716071
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189565
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716075
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189566
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189567
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716090
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189568
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189569
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189570
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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