Displaying 194471-194480 of 1611142 results.
ID:
194471
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194472
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194473
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194474
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194475
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194476
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194477
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194478
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194479
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194480
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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