Displaying 189321-189330 of 1611142 results.
ID:
189321
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189322
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189323
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189324
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189325
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716215
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189326
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716219
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189327
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716223
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189328
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189329
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189330
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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