Displaying 194951-194960 of 1611142 results.
ID:
194951
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194952
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194953
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194954
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194955
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
194956
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194957
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194958
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194959
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194960
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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