Displaying 195291-195300 of 1611142 results.
ID:
195291
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
728550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195292
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195293
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195294
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195295
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195296
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195297
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195298
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195299
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195300
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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