Displaying 194111-194120 of 1611142 results.
ID:
194111
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
194112
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
194113
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2383561
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194114
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194115
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194116
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194117
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194118
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194119
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
194120
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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