Displaying 195271-195280 of 1611142 results.
ID:
195271
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195272
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195273
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
208332
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195274
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195275
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195276
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195277
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195278
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195279
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195280
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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