Displaying 198551-198560 of 1611142 results.
ID:
198551
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1591943
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198552
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198553
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
198554
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
198555
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198556
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198557
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2265689
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198558
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2286261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198559
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198560
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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