Displaying 184361-184370 of 1611142 results.
ID:
184361
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184362
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
184363
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608333
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184364
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184365
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184366
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184367
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184368
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184369
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184370
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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