Displaying 194421-194430 of 1611142 results.
ID:
194421
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
194422
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
194423
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2003757
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
194424
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2003767
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
194425
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194426
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194427
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194428
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194429
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194430
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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