Displaying 198261-198270 of 1611142 results.
ID:
198261
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
198262
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198263
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1807888
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198264
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1807915
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198265
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198266
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198267
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198268
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
198269
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198270
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
885131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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