Displaying 198201-198210 of 1611142 results.
ID:
198201
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198202
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198203
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198204
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198205
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198206
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198207
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198208
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198209
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198210
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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