Displaying 192641-192650 of 1611142 results.
ID:
192641
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
192642
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192643
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1840
Qty Limit Days:
30
ID:
192644
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192645
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192646
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192647
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
192648
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192649
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192650
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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