Displaying 195741-195750 of 1611142 results.
ID:
195741
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
892554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195742
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195743
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195744
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195745
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195746
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195747
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195748
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195749
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195750
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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