Displaying 191461-191470 of 1611142 results.
ID:
191461
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191462
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191463
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
191464
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
191465
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191466
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191467
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790644
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
191468
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191469
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191470
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1043567
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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