Displaying 196441-196450 of 1611142 results.
ID:
196441
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196442
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196443
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196444
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196445
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196446
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196447
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196448
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196449
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196450
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2053458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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