Displaying 194891-194900 of 1611142 results.
ID:
194891
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197935
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194892
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856605
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194893
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194894
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194895
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194896
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194897
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194898
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194899
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
541524
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194900
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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