Displaying 187231-187240 of 1611142 results.
ID:
187231
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187232
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187233
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
352228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187234
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187235
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187236
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187237
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187238
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187239
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187240
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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