Displaying 183371-183380 of 1611142 results.
ID:
183371
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183372
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
183373
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
183374
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
183375
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
183376
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
183377
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
183378
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
183379
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
183380
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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