Displaying 194451-194460 of 1611142 results.
ID:
194451
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194452
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
991722
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194453
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194454
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194455
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194456
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194457
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194458
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194459
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194460
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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