Displaying 191961-191970 of 1611142 results.
ID:
191961
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
899461
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191962
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
899485
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
191963
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
899495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191964
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191965
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
191966
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
191967
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
191968
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191969
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191970
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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