Displaying 198411-198420 of 1611142 results.
ID:
198411
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2380617
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198412
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198413
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198414
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198415
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198416
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197944
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198417
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198418
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
198419
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198420
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2261403
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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