Displaying 198161-198170 of 1611142 results.
ID:
198161
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198162
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198163
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198164
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198165
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198166
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198167
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198168
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198169
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198170
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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