Displaying 190241-190250 of 1611142 results.
ID:
190241
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
833461
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
190242
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190243
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190244
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190245
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190246
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190247
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
351156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190248
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190249
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190250
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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