Displaying 193141-193150 of 1611142 results.
ID:
193141
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
14
ID:
193142
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193143
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193144
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193145
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193146
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
193147
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
193148
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
193149
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
193150
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
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