Displaying 187961-187970 of 1611142 results.
ID:
187961
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187962
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187963
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187964
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187965
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187966
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187967
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187968
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187969
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187970
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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