Displaying 195651-195660 of 1611142 results.
ID:
195651
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195652
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195653
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2171002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195654
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195655
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195656
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195657
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195658
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195659
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
992481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195660
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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