Displaying 194381-194390 of 1611142 results.
ID:
194381
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194382
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194383
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194384
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194385
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194386
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194387
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194388
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194389
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194390
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
260285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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