Displaying 192391-192400 of 1611142 results.
ID:
192391
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192392
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192393
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192394
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
192395
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192396
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192397
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192398
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
825005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
15
ID:
192399
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192400
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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