Displaying 196041-196050 of 1611142 results.
ID:
196041
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196042
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196043
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099288
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196044
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196045
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196046
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196047
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196048
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196049
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196050
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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