Displaying 183951-183960 of 1611142 results.
ID:
183951
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183952
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
183953
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
183954
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
183955
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
183956
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183957
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183958
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183959
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183960
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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