Displaying 195121-195130 of 1611142 results.
ID:
195121
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195122
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195123
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1246304
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
30
ID:
195124
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1246288
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
30
ID:
195125
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195126
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195127
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195128
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195129
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195130
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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