Displaying 194691-194700 of 1611142 results.
ID:
194691
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194692
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194693
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404630
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194694
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
194695
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
194696
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
194697
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194698
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
49
Qty Limit Days:
28
ID:
194699
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
194700
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
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