Displaying 193121-193130 of 1611142 results.
ID:
193121
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193122
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193123
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193124
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
193125
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
193126
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
193127
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
193128
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
193129
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
193130
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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