Displaying 194831-194840 of 1611142 results.
ID:
194831
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194832
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194833
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194834
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194835
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194836
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194837
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194838
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1876397
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194839
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194840
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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