Displaying 198471-198480 of 1611142 results.
ID:
198471
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198472
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198473
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198474
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198475
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198476
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
198477
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1421461
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198478
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1599841
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198479
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
307732
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198480
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2044928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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