Displaying 198381-198390 of 1611142 results.
ID:
198381
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373008
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198382
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198383
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198384
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198385
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198386
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198387
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198388
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198389
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198390
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2400
Qty Limit Days:
30
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