Displaying 184171-184180 of 1611142 results.
ID:
184171
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184172
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184173
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184174
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184175
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184176
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184177
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184178
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184179
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184180
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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