Displaying 187021-187030 of 1611142 results.
ID:
187021
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187022
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187023
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187024
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187025
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187026
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
187027
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
187028
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
187029
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187030
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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