Displaying 197251-197260 of 1611142 results.
ID:
197251
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
259966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197252
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197253
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
401953
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197254
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
401954
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197255
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197256
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197257
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197258
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197259
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197260
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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