Displaying 194281-194290 of 1611142 results.
ID:
194281
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1652640
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194282
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
847189
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194283
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
847199
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194284
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194285
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194286
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194287
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194288
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194289
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194290
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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