Displaying 198341-198350 of 1611142 results.
ID:
198341
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198342
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198343
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198344
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198345
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198346
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198007
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198347
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198348
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198349
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198350
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
702306
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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