Displaying 197141-197150 of 1611142 results.
ID:
197141
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197142
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
805579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197143
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
901518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197144
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830463
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197145
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1601407
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197146
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
809159
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
197147
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
802652
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
197148
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
197149
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
197150
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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