Displaying 184011-184020 of 1611142 results.
ID:
184011
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184012
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
184013
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
184014
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184015
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184016
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966524
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
184017
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
966529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
184018
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297660
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184019
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297763
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184020
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
998426
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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