Displaying 193041-193050 of 1611142 results.
ID:
193041
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193042
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193043
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193044
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193045
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
860510
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193046
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
860516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193047
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
860522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193048
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
860532
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193049
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193050
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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