Displaying 189061-189070 of 1611142 results.
ID:
189061
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189062
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189063
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189064
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189065
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189066
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189067
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189068
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189069
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189070
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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