Displaying 196481-196490 of 1611142 results.
ID:
196481
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196482
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196483
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1232585
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196484
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
196485
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2055650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
196486
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196487
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196488
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196489
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196490
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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