Displaying 197381-197390 of 1611142 results.
ID:
197381
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
607295
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197382
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197383
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197384
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
903458
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197385
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
903699
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197386
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
903705
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197387
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197388
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197389
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197390
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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