Displaying 187011-187020 of 1611142 results.
ID:
187011
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
187012
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
187013
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187014
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187015
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187016
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187017
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187018
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187019
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187020
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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