Displaying 194581-194590 of 1611142 results.
ID:
194581
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194582
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194583
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1313887
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194584
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194585
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194586
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194587
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
194588
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
194589
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
194590
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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