Displaying 184521-184530 of 1611142 results.
ID:
184521
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184522
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184523
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184524
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184525
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184526
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184527
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184528
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184529
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184530
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
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