Displaying 190461-190470 of 1611142 results.
ID:
190461
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190462
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190463
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190464
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
190465
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190466
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190467
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190468
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190469
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190470
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
897781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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