Displaying 196291-196300 of 1611142 results.
ID:
196291
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196292
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196293
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
196294
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196295
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196296
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300272
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196297
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1542994
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196298
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2121410
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196299
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196300
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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