Displaying 185341-185350 of 1611142 results.
ID:
185341
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185342
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185343
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185344
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185345
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
851750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185346
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
251575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185347
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185348
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185349
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185350
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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