Displaying 196151-196160 of 1611142 results.
ID:
196151
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196152
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196153
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196154
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196155
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196156
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196157
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196158
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196159
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196160
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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