Displaying 191971-191980 of 1611142 results.
ID:
191971
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191972
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191973
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191974
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191975
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191976
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
757968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191977
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191978
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1013629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191979
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191980
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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