Displaying 186661-186670 of 1611142 results.
ID:
186661
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186662
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186663
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186664
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186665
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186666
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186667
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
186668
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186669
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186670
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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