Displaying 195211-195220 of 1611142 results.
ID:
195211
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195212
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195213
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195214
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195215
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195216
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195217
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195218
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195219
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195220
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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