Displaying 191361-191370 of 1611142 results.
ID:
191361
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
191362
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
191363
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
191364
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191365
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
191366
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
859088
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
191367
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
191368
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
191369
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
191370
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
30
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