Displaying 198391-198400 of 1611142 results.
ID:
198391
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198392
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198393
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198394
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198395
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198396
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198397
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198398
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
198399
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2001439
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198400
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2107518
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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