Displaying 187611-187620 of 1611142 results.
ID:
187611
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5550
Qty Limit Days:
30
ID:
187612
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187613
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187614
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187615
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187616
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187617
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187618
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187619
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187620
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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