Displaying 198231-198240 of 1611142 results.
ID:
198231
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198232
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198233
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
307731
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198234
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198235
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198236
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198237
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198238
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198239
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861512
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198240
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
485647
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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