Displaying 186451-186460 of 1611142 results.
ID:
186451
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
562508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186452
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
849398
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186453
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
849431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186454
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
186455
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186456
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186457
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186458
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186459
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186460
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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