Displaying 193481-193490 of 1611142 results.
ID:
193481
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
825333
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193482
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
825325
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193483
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193484
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040025
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193485
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
193486
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
193487
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193488
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
193489
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193490
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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