Displaying 191041-191050 of 1611142 results.
ID:
191041
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
191042
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191043
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191044
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191045
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191046
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191047
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
191048
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191049
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191050
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
966205
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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