Displaying 197011-197020 of 1611142 results.
ID:
197011
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197012
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197013
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197014
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1743547
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197015
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1734932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197016
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197017
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197018
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197019
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197020
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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