Displaying 193351-193360 of 1611142 results.
ID:
193351
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193352
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
180
ID:
193353
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
193354
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193355
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193356
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193357
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193358
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
680
Qty Limit Days:
28
ID:
193359
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193360
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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