Displaying 196341-196350 of 1611142 results.
ID:
196341
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
252479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196342
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
248642
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196343
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196344
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196345
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196346
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196347
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196348
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196349
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196350
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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