Displaying 195091-195100 of 1611142 results.
ID:
195091
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195092
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195093
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195094
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195095
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195096
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195097
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195098
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195099
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
245220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195100
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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