Displaying 190491-190500 of 1611142 results.
ID:
190491
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190492
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190493
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861512
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
125
Qty Limit Days:
28
ID:
190494
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190495
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
190496
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190497
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190498
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190499
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190500
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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