Displaying 183831-183840 of 1611142 results.
ID:
183831
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
183832
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
183833
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
183834
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183835
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183836
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183837
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183838
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183839
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183840
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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