Displaying 195341-195350 of 1611142 results.
ID:
195341
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195342
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195343
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195344
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195345
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195346
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195347
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195348
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195349
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195350
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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