Displaying 188251-188260 of 1611142 results.
ID:
188251
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188252
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188253
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188254
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188255
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188256
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188257
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188258
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188259
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188260
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1293639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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