Displaying 186191-186200 of 1611142 results.
ID:
186191
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186192
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186193
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186194
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186195
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186196
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186197
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186198
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
186199
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186200
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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