Displaying 187811-187820 of 1611142 results.
ID:
187811
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187812
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187813
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187814
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187815
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187816
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187817
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187818
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187819
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
242816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187820
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1870633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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