Displaying 195551-195560 of 1611142 results.
ID:
195551
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195552
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195553
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195554
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195555
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195556
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195557
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1596781
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
195558
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195559
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195560
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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