Displaying 192571-192580 of 1611142 results.
ID:
192571
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
192572
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192573
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192574
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192575
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192576
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192577
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192578
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192579
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192580
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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