Displaying 195881-195890 of 1611142 results.
ID:
195881
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195882
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195883
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195884
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195885
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195886
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195887
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195888
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195889
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195890
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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