Displaying 188831-188840 of 1611142 results.
ID:
188831
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188832
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188833
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188834
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
252478
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188835
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
103968
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188836
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
252479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188837
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
248642
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188838
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
188839
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
188840
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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