Displaying 191371-191380 of 1611142 results.
ID:
191371
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
191372
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
191373
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191374
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191375
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539885
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191376
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191377
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191378
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191379
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191380
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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