Displaying 191341-191350 of 1611142 results.
ID:
191341
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191342
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191343
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
847241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191344
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191345
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191346
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191347
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191348
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191349
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191350
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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