Displaying 194341-194350 of 1611142 results.
ID:
194341
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194342
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194343
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194344
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194345
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194346
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194347
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194348
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194349
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2475856
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194350
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2475860
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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