Displaying 188041-188050 of 1611142 results.
ID:
188041
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1805422
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188042
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188043
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188044
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
751620
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188045
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
751623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188046
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
751616
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188047
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
827075
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188048
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
833151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
30
ID:
188049
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
188050
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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