Displaying 197861-197870 of 1611142 results.
ID:
197861
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197862
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197863
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197864
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197865
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197866
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197867
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197868
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197869
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197870
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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