Displaying 198361-198370 of 1611142 results.
ID:
198361
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
198362
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
198363
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198364
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198365
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198366
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198367
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198368
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198369
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198370
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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