Displaying 197221-197230 of 1611142 results.
ID:
197221
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197222
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1550720
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197223
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
197224
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
197225
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
30
ID:
197226
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197227
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197228
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197229
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197230
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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