Displaying 194151-194160 of 1611142 results.
ID:
194151
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194152
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194153
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
307732
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194154
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194155
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
ID:
194156
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194157
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194158
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194159
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194160
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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