Displaying 195471-195480 of 1611142 results.
ID:
195471
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195472
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195473
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195474
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195475
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195476
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195477
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195478
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195479
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195480
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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