Displaying 196171-196180 of 1611142 results.
ID:
196171
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196172
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196173
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196174
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196175
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196176
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196177
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196178
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196179
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196180
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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