Displaying 197131-197140 of 1611142 results.
ID:
197131
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197132
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197133
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197134
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197135
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197136
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197137
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197138
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197139
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197140
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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