Displaying 196221-196230 of 1611142 results.
ID:
196221
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196222
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
730794
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
196223
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196224
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2199026
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196225
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2199030
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196226
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
825005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
196227
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196228
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196229
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196230
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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