Displaying 189011-189020 of 1611142 results.
ID:
189011
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189012
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
403969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189013
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
403972
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189014
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
403970
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189015
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
403971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189016
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189017
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189018
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251903
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189019
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
721787
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189020
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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