Displaying 184741-184750 of 1611142 results.
ID:
184741
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184742
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
900164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184743
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
850091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184744
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
850087
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184745
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184746
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184747
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184748
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184749
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184750
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
902741
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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