Displaying 192721-192730 of 1611142 results.
ID:
192721
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
192722
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192723
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192724
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192725
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192726
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
192727
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192728
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192729
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
192730
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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