Displaying 188991-189000 of 1611142 results.
ID:
188991
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790146
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188992
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188993
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188994
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188995
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188996
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188997
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188998
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188999
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189000
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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