Displaying 194071-194080 of 1611142 results.
ID:
194071
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
194072
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
702306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194073
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194074
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
751563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194075
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
753451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194076
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
751139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194077
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
ID:
194078
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
194079
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
194080
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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