Displaying 189241-189250 of 1611142 results.
ID:
189241
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189242
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189243
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189244
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189245
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189246
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189247
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2287905
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
189248
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2056700
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
189249
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189250
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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