Displaying 195191-195200 of 1611142 results.
ID:
195191
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195192
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195193
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195194
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195195
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195196
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195197
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195198
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195199
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195200
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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