Displaying 184461-184470 of 1611142 results.
ID:
184461
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184462
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184463
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184464
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184465
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184466
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
184467
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
184468
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
184469
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184470
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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