Displaying 192631-192640 of 1611142 results.
ID:
192631
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192632
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192633
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192634
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1575
Qty Limit Days:
28
ID:
192635
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192636
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
192637
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192638
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192639
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192640
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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