Displaying 183741-183750 of 1611142 results.
ID:
183741
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183742
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
746804
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
183743
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
746815
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
183744
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
746813
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
183745
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
790284
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
183746
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
183747
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
183748
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536144
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
183749
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
183750
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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