Displaying 184081-184090 of 1611142 results.
ID:
184081
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
184082
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184083
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184084
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184085
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184086
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
184087
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2205634
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
184088
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
184089
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
858044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184090
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
858040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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