Displaying 195181-195190 of 1611142 results.
ID:
195181
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856769
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195182
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195183
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195184
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195185
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195186
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856792
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195187
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198297
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195188
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195189
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195190
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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