Displaying 186961-186970 of 1611142 results.
ID:
186961
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011715
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186962
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186963
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011755
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186964
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186965
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186966
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186967
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186968
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186969
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186970
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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