Displaying 191241-191250 of 1611142 results.
ID:
191241
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
58
Qty Limit Days:
30
ID:
191242
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
39
Qty Limit Days:
30
ID:
191243
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
29
Qty Limit Days:
30
ID:
191244
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314000
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191245
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191246
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191247
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191248
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191249
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191250
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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