Displaying 198421-198430 of 1611142 results.
ID:
198421
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198422
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
198423
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
198424
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1855072
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198425
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1537045
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198426
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1994750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198427
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198428
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198429
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198430
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2362178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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