Displaying 194591-194600 of 1611142 results.
ID:
194591
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
194592
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
194593
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194594
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
194595
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
ID:
194596
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
194597
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
168
Qty Limit Days:
28
ID:
194598
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
ID:
194599
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
194600
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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