Displaying 195331-195340 of 1611142 results.
ID:
195331
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195332
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195333
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195334
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195335
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195336
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195337
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195338
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195339
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195340
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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