Displaying 184501-184510 of 1611142 results.
ID:
184501
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184502
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184503
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184504
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184505
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184506
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184507
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184508
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184509
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184510
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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