Displaying 186951-186960 of 1611142 results.
ID:
186951
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186952
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186953
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186954
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186955
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
186956
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186957
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186958
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186959
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186960
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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