Displaying 195201-195210 of 1611142 results.
ID:
195201
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195202
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195203
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195204
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195205
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195206
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195207
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195208
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
195209
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
195210
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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