Displaying 183971-183980 of 1611142 results.
ID:
183971
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
183972
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
183973
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
183974
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
183975
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183976
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183977
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
183978
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
183979
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
183980
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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