Displaying 188631-188640 of 1611142 results.
ID:
188631
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188632
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188633
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188634
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
884522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188635
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
856980
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
188636
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188637
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188638
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188639
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188640
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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