Displaying 184791-184800 of 1611142 results.
ID:
184791
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184792
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184793
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184794
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184795
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184796
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184797
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184798
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184799
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184800
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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