Displaying 195951-195960 of 1611142 results.
ID:
195951
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195952
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195953
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195954
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195955
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195956
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195957
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195958
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195959
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195960
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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