Displaying 191481-191490 of 1611142 results.
ID:
191481
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
191482
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
191483
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191484
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191485
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191486
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191487
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191488
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191489
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191490
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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