Displaying 196471-196480 of 1611142 results.
ID:
196471
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196472
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196473
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196474
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860491
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196475
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860493
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196476
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196477
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860497
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196478
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196479
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860501
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196480
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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