Displaying 195241-195250 of 1611142 results.
ID:
195241
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195242
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195243
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195244
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855863
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195245
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
618552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195246
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195247
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195248
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1536586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195249
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
195250
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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