Displaying 187161-187170 of 1611142 results.
ID:
187161
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187162
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187163
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187164
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187165
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187166
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187167
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475856
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187168
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475860
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187169
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475852
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187170
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992816
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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