Displaying 197341-197350 of 1611142 results.
ID:
197341
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197342
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197343
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
30
ID:
197344
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
197345
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797847
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
23
Qty Limit Days:
30
ID:
197346
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197347
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197348
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197349
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197350
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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