Displaying 192621-192630 of 1611142 results.
ID:
192621
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192622
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192623
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
2
ID:
192624
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
2
ID:
192625
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
192626
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001430
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192627
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192628
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192629
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192630
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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