Displaying 198171-198180 of 1611142 results.
ID:
198171
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198172
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198173
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198174
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198175
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198176
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
284201
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
198177
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351134
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
198178
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198179
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198180
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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