Displaying 194541-194550 of 1611142 results.
ID:
194541
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194542
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
978737
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194543
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
978757
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194544
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
978741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194545
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
978745
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194546
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
194547
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
978747
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194548
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194549
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
978778
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194550
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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