Displaying 189271-189280 of 1611142 results.
ID:
189271
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189272
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189273
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189274
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189275
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
189276
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
189277
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189278
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189279
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189280
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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