Displaying 196261-196270 of 1611142 results.
ID:
196261
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196262
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196263
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196264
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196265
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196266
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196267
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196268
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196269
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196270
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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