Displaying 198121-198130 of 1611142 results.
ID:
198121
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1599949
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
198122
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198123
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198124
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198125
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
198126
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198127
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198128
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198129
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198130
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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