Displaying 196461-196470 of 1611142 results.
ID:
196461
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196462
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196463
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196464
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196465
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196466
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196467
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196468
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196469
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196470
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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