Displaying 195041-195050 of 1611142 results.
ID:
195041
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198057
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195042
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195043
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195044
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195045
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195046
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195047
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195048
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195049
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195050
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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