Displaying 184661-184670 of 1611142 results.
ID:
184661
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184662
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184663
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184664
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184665
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184666
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184667
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184668
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
184669
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
211777
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184670
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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