Displaying 184411-184420 of 1611142 results.
ID:
184411
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184412
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184413
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184414
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184415
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184416
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184417
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184418
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184419
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184420
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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