Displaying 189221-189230 of 1611142 results.
ID:
189221
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189222
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189223
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189224
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189225
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189226
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189227
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189228
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189229
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189230
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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