Displaying 194481-194490 of 1611142 results.
ID:
194481
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194482
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194483
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194484
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194485
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194486
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
194487
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194488
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194489
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194490
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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