Displaying 195161-195170 of 1611142 results.
ID:
195161
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195162
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801012
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195163
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801000
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195164
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195165
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801031
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195166
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195167
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195168
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195169
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195170
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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