Displaying 198481-198490 of 1611142 results.
ID:
198481
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2044932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198482
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198483
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2045959
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198484
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2045961
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198485
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2045958
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198486
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2059189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
ID:
198487
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198488
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198489
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
198490
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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