Displaying 194041-194050 of 1611142 results.
ID:
194041
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194042
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194043
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194044
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194045
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251501
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194046
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194047
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664440
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194048
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194049
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194050
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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