Displaying 183791-183800 of 1611142 results.
ID:
183791
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183792
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183793
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183794
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183795
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183796
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183797
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183798
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183799
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183800
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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