Displaying 183751-183760 of 1611142 results.
ID:
183751
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183752
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183753
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246313
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
183754
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246310
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
183755
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183756
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183757
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183758
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
803194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183759
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
847261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183760
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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