Displaying 186791-186800 of 1611142 results.
ID:
186791
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186792
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
857216
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186793
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186794
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861512
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
125
Qty Limit Days:
28
ID:
186795
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186796
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
186797
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186798
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186799
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186800
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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