Displaying 196181-196190 of 1611142 results.
ID:
196181
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196182
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196183
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196184
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196185
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196186
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
196187
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
196188
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196189
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196190
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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