Displaying 195231-195240 of 1611142 results.
ID:
195231
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
763574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195232
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
763589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195233
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
618557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195234
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195235
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195236
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195237
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195238
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195239
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195240
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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