Displaying 188021-188030 of 1611142 results.
ID:
188021
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188022
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188023
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188024
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188025
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188026
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188027
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188028
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188029
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188030
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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