Displaying 198431-198440 of 1611142 results.
ID:
198431
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2362182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198432
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198433
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
198434
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198435
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198436
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
198437
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806878
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198438
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198439
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198440
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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