Displaying 195991-196000 of 1611142 results.
ID:
195991
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195992
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
581549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195993
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195994
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1922894
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195995
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195996
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195997
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
706872
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195998
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195999
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1244616
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196000
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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