Displaying 191631-191640 of 1611142 results.
ID:
191631
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191632
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191633
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191634
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191635
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191636
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191637
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191638
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191639
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191640
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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