Displaying 198251-198260 of 1611142 results.
ID:
198251
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349462
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
198252
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198253
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198254
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198255
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198256
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198257
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198258
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
198259
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
198260
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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