Displaying 190571-190580 of 1611142 results.
ID:
190571
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190572
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
190573
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
702306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190574
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190575
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
751563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190576
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
753451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190577
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
751139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190578
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190579
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
190580
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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