Displaying 194781-194790 of 1611142 results.
ID:
194781
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194782
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194783
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194784
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194785
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351261
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194786
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194787
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194788
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194789
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194790
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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