Displaying 196381-196390 of 1611142 results.
ID:
196381
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
196382
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196383
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196384
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
602427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196385
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
196386
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
196387
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196388
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196389
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196390
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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