Displaying 195111-195120 of 1611142 results.
ID:
195111
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195112
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195113
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
195114
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
195115
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195116
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195117
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195118
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195119
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
195120
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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