Displaying 194871-194880 of 1611142 results.
ID:
194871
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194872
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194873
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197975
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194874
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194875
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1303736
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194876
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
749804
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194877
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
749802
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194878
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194879
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194880
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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