Displaying 196131-196140 of 1611142 results.
ID:
196131
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196132
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196133
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196134
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196135
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
672908
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196136
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
672910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196137
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
672909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196138
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
248420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196139
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196140
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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