Displaying 196671-196680 of 1611142 results.
ID:
196671
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196672
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196673
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196674
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196675
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196676
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196677
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196678
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196679
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196680
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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