Displaying 195391-195400 of 1611142 results.
ID:
195391
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195392
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195393
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
195394
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195395
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195396
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195397
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195398
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195399
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195400
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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