Displaying 195971-195980 of 1611142 results.
ID:
195971
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195972
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195973
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195974
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195975
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195976
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195977
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195978
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195979
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195980
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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