Displaying 197441-197450 of 1611142 results.
ID:
197441
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197442
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197443
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
212039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197444
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
212232
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197445
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
212373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197446
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197447
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197448
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197449
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1242611
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197450
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1242613
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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