Displaying 196351-196360 of 1611142 results.
ID:
196351
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196352
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196353
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196354
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
196355
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
196356
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
196357
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
207836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196358
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
796918
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196359
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
196360
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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