Displaying 198181-198190 of 1611142 results.
ID:
198181
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198182
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198183
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198184
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198185
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198186
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351260
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198187
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198188
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198189
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198190
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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