Displaying 184301-184310 of 1611142 results.
ID:
184301
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
184302
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
184303
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
184304
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
184305
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
184306
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
184307
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184308
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184309
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184310
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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