Displaying 195371-195380 of 1611142 results.
ID:
195371
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195372
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195373
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195374
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195375
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195376
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195377
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195378
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195379
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1037185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195380
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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