Displaying 198241-198250 of 1611142 results.
ID:
198241
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198242
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
198243
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311877
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198244
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198245
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198246
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198247
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198248
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198249
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198250
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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