Displaying 198271-198280 of 1611142 results.
ID:
198271
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198272
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198273
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198274
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1249617
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198275
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198276
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
198277
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198278
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198279
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1013662
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198280
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313453
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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