Displaying 931-940 of 1611142 results.
ID:
931
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
932
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
933
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
934
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
935
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
936
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
937
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
938
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
939
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
940
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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