Displaying 196271-196280 of 1611142 results.
ID:
196271
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196272
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
158
Qty Limit Days:
30
ID:
196273
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196274
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196275
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196276
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196277
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196278
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196279
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196280
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856992
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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