Displaying 193151-193160 of 1611142 results.
ID:
193151
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
193152
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193153
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
210
Qty Limit Days:
30
ID:
193154
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
193155
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
193156
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193157
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193158
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193159
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
193160
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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