Displaying 198081-198090 of 1611142 results.
ID:
198081
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650446
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198082
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198083
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198084
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198085
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198086
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198087
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198088
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198089
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198090
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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