Displaying 194791-194800 of 1611142 results.
ID:
194791
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194792
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194793
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194794
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194795
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194796
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194797
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194798
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194799
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
800915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194800
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1918209
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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