Displaying 190971-190980 of 1611142 results.
ID:
190971
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
810079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190972
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
190973
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
190974
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
190975
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190976
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190977
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190978
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190979
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
190980
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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