Displaying 185331-185340 of 1611142 results.
ID:
185331
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185332
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185333
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185334
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185335
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185336
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185337
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185338
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185339
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1146690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185340
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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