Displaying 198281-198290 of 1611142 results.
ID:
198281
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
359050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198282
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198283
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198284
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198285
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198286
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198287
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198288
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198289
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198290
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1482684
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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