Displaying 194191-194200 of 1611142 results.
ID:
194191
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194192
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194193
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194194
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194195
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
194196
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
194197
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
194198
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
194199
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194200
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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