Displaying 195941-195950 of 1611142 results.
ID:
195941
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195942
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195943
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195944
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195945
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195946
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195947
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195948
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195949
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195950
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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