Displaying 188971-188980 of 1611142 results.
ID:
188971
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188972
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188973
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188974
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188975
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188976
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188977
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188978
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188979
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188980
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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