Displaying 188591-188600 of 1611142 results.
ID:
188591
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188592
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188593
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188594
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188595
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
863042
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188596
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188597
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188598
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188599
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188600
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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