Displaying 196991-197000 of 1611142 results.
ID:
196991
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196992
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
901546
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196993
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196994
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196995
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196996
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196997
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196998
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196999
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197000
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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