Displaying 194741-194750 of 1611142 results.
ID:
194741
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194742
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194743
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194744
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194745
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194746
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194747
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194748
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194749
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194750
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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