Displaying 195321-195330 of 1611142 results.
ID:
195321
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195322
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1603495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195323
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1603498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195324
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2110510
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195325
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2110513
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195326
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2110516
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195327
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195328
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195329
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
195330
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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