Displaying 197841-197850 of 1611142 results.
ID:
197841
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197842
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197843
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197844
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197845
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197846
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197847
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197848
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197849
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197850
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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