Displaying 195451-195460 of 1611142 results.
ID:
195451
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195452
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195453
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195454
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195455
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195456
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
195457
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195458
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195459
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
195460
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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