Displaying 187261-187270 of 1611142 results.
ID:
187261
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187262
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187263
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187264
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187265
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
187266
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187267
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187268
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187269
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
187270
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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