Displaying 197281-197290 of 1611142 results.
ID:
197281
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197282
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197283
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197284
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197285
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197286
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197287
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1307427
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
197288
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197289
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197290
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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