Displaying 188241-188250 of 1611142 results.
ID:
188241
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188242
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188243
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188244
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188245
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188246
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188247
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188248
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188249
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188250
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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