Displaying 198581-198590 of 1611142 results.
ID:
198581
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1809436
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198582
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198583
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198584
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198585
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198586
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198587
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198588
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
198589
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198590
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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