Displaying 197971-197980 of 1611142 results.
ID:
197971
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197972
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197973
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197974
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197975
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197976
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197977
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197978
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197979
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
637173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197980
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
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