Displaying 191381-191390 of 1611142 results.
ID:
191381
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191382
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191383
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191384
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191385
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191386
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191387
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191388
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191389
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191390
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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