Displaying 187841-187850 of 1611142 results.
ID:
187841
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
207391
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187842
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
800420
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187843
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
800405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187844
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187845
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187846
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187847
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187848
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
187849
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
187850
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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