Displaying 194431-194440 of 1611142 results.
ID:
194431
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
706467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194432
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
836645
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194433
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
836649
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194434
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
688242
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194435
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194436
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194437
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194438
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194439
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194440
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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