Displaying 183461-183470 of 1611142 results.
ID:
183461
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183462
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183463
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183464
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183465
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183466
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183467
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183468
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475856
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183469
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475860
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183470
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475852
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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