Displaying 198541-198550 of 1611142 results.
ID:
198541
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198542
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198543
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
90
ID:
198544
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
90
ID:
198545
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
198546
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
198547
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
198548
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
198549
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198550
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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