Displaying 197911-197920 of 1611142 results.
ID:
197911
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801958
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197912
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197913
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197914
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
727714
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197915
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197916
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
242120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197917
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1652639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197918
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197919
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197920
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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