Displaying 198451-198460 of 1611142 results.
ID:
198451
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1941473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198452
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198453
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198454
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198455
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198456
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198457
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198458
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1673373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198459
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2059266
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198460
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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