Displaying 188781-188790 of 1611142 results.
ID:
188781
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188782
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188783
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188784
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
608623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188785
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
608624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188786
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188787
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
188788
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188789
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188790
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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