Displaying 183571-183580 of 1611142 results.
ID:
183571
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183572
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
183573
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183574
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183575
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183576
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
183577
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
183578
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
183579
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183580
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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