Displaying 194331-194340 of 1611142 results.
ID:
194331
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194332
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194333
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194334
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194335
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194336
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194337
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194338
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194339
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194340
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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