Displaying 196251-196260 of 1611142 results.
ID:
196251
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806206
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196252
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806210
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196253
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806204
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196254
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806208
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196255
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196256
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196257
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196258
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196259
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196260
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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