Displaying 198131-198140 of 1611142 results.
ID:
198131
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1487251
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198132
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198133
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198134
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198135
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198136
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198137
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198138
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198139
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198140
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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