Displaying 193901-193910 of 1611142 results.
ID:
193901
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193902
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193903
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193904
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193905
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193906
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193907
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193908
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193909
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193910
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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