Displaying 194351-194360 of 1611142 results.
ID:
194351
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2475852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194352
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992816
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194353
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992821
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194354
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992837
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194355
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992832
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194356
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992695
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194357
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992703
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194358
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992691
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194359
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992700
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194360
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905160
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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