Displaying 193581-193590 of 1611142 results.
ID:
193581
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
193582
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193583
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
866021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193584
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193585
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193586
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193587
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193588
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193589
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193590
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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