Displaying 189261-189270 of 1611142 results.
ID:
189261
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
903697
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189262
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
903703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189263
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189264
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189265
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
748865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189266
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189267
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189268
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189269
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189270
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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