Displaying 197991-198000 of 1611142 results.
ID:
197991
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197992
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197993
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197994
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
629699
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197995
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
629695
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197996
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
629697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197997
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197998
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197999
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858372
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198000
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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