Displaying 196191-196200 of 1611142 results.
ID:
196191
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196192
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196193
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196194
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196195
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
901541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196196
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1114479
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196197
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
901534
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196198
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196199
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196200
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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