Displaying 197581-197590 of 1611142 results.
ID:
197581
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197582
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197583
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197584
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197585
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197586
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197587
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197588
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197589
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
197590
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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