Displaying 190561-190570 of 1611142 results.
ID:
190561
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
692578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190562
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
ID:
190563
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190564
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
190565
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190566
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190567
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190568
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190569
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190570
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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