Displaying 183551-183560 of 1611142 results.
ID:
183551
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183552
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183553
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183554
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183555
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183556
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183557
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2400
Qty Limit Days:
30
ID:
183558
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
183559
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183560
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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