Displaying 196241-196250 of 1611142 results.
ID:
196241
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196242
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196243
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196244
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196245
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196246
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196247
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1739337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
196248
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806200
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196249
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1648183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196250
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806202
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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