Displaying 197241-197250 of 1611142 results.
ID:
197241
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197242
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
197243
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
197244
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
197245
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197246
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1999587
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
197247
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1364515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
68
Qty Limit Days:
28
ID:
197248
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2373941
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
340
Qty Limit Days:
28
ID:
197249
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049677
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197250
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762675
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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