Displaying 191621-191630 of 1611142 results.
ID:
191621
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191622
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191623
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191624
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191625
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
191626
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
191627
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855389
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
191628
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191629
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
191630
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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