Displaying 197261-197270 of 1611142 results.
ID:
197261
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197262
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197263
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197264
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197265
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197266
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1359105
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197267
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197268
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197269
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197270
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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