Displaying 195461-195470 of 1611142 results.
ID:
195461
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195462
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195463
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195464
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195465
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195466
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
195467
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195468
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195469
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195470
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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