Displaying 196111-196120 of 1611142 results.
ID:
196111
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
884522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196112
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196113
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
995019
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196114
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1799434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196115
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196116
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196117
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196118
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196119
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196120
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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