Displaying 196231-196240 of 1611142 results.
ID:
196231
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196232
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196233
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196234
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
794979
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196235
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196236
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196237
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196238
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196239
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196240
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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