Displaying 196201-196210 of 1611142 results.
ID:
196201
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196202
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
206620
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196203
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1998482
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196204
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2118835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196205
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1998481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196206
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196207
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196208
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196209
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196210
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2058845
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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