Displaying 187041-187050 of 1611142 results.
ID:
187041
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247381
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187042
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187043
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187044
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187045
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187046
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187047
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187048
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187049
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187050
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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