Displaying 194321-194330 of 1611142 results.
ID:
194321
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194322
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194323
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194324
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
194325
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194326
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194327
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194328
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1734642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
194329
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194330
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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