Displaying 196161-196170 of 1611142 results.
ID:
196161
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196162
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196163
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196164
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196165
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196166
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196167
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
196168
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
196169
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
196170
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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