Displaying 195261-195270 of 1611142 results.
ID:
195261
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
195262
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
195263
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
195264
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
195265
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195266
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
284204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
195267
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195268
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966787
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195269
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966793
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195270
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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