Displaying 183661-183670 of 1611142 results.
ID:
183661
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183662
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
183663
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183664
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183665
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183666
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
ID:
183667
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
183668
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
183669
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
183670
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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