Displaying 193631-193640 of 1611142 results.
ID:
193631
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1680
Qty Limit Days:
28
ID:
193632
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
193633
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193634
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
365
ID:
193635
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193636
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861748
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193637
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193638
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193639
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193640
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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