Displaying 187541-187550 of 1611142 results.
ID:
187541
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187542
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187543
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187544
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187545
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187546
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187547
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187548
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187549
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187550
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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