Displaying 192421-192430 of 1611142 results.
ID:
192421
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192422
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192423
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192424
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192425
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192426
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192427
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192428
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192429
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192430
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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