Displaying 195781-195790 of 1611142 results.
ID:
195781
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205669
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195782
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195783
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195784
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195785
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195786
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195787
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195788
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195789
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
211777
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195790
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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