Displaying 195171-195180 of 1611142 results.
ID:
195171
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195172
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195173
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195174
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195175
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195176
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195177
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195178
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195179
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195180
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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