Displaying 190631-190640 of 1611142 results.
ID:
190631
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
190632
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
190633
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
190634
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190635
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1537045
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190636
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190637
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190638
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
799040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
190639
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
799037
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
190640
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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