Displaying 184621-184630 of 1611142 results.
ID:
184621
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
184622
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184623
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184624
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184625
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184626
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
892494
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
184627
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
892596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
184628
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
892345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
184629
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
894801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
184630
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
892352
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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