Displaying 197191-197200 of 1611142 results.
ID:
197191
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1998772
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
30
ID:
197192
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1716079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197193
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1716063
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197194
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1716067
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197195
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1716071
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197196
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1716075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197197
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1716083
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197198
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1716090
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197199
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1876609
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197200
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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