Displaying 196321-196330 of 1611142 results.
ID:
196321
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196322
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196323
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196324
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196325
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196326
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196327
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196328
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196329
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196330
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
597974
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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