Displaying 195751-195760 of 1611142 results.
ID:
195751
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1812421
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195752
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1812425
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195753
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1812419
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195754
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1812427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195755
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1494769
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195756
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
195757
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195758
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195759
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195760
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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