Displaying 189891-189900 of 1611142 results.
ID:
189891
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189892
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189893
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189894
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189895
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536490
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189896
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189897
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
189898
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189899
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189900
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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