Displaying 192081-192090 of 1611142 results.
ID:
192081
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
192082
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
192083
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
192084
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
192085
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192086
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192087
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192088
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
889520
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
192089
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192090
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
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