Displaying 185041-185050 of 1611142 results.
ID:
185041
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185042
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185043
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311207
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185044
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
794979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185045
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185046
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185047
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185048
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
905341
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185049
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
905347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185050
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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