Displaying 195151-195160 of 1611142 results.
ID:
195151
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
615111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195152
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312128
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195153
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
240637
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195154
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
204466
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195155
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
207391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195156
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195157
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195158
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195159
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195160
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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