Displaying 194311-194320 of 1611142 results.
ID:
194311
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1547575
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194312
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1547110
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194313
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194314
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194315
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194316
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194317
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194318
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194319
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194320
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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