Displaying 189711-189720 of 1611142 results.
ID:
189711
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797847
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
23
Qty Limit Days:
30
ID:
189712
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189713
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189714
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189715
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189716
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189717
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189718
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189719
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189720
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
485486
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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