Displaying 185161-185170 of 1611142 results.
ID:
185161
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185162
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185163
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
185164
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185165
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185166
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
185167
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
126
Qty Limit Days:
28
ID:
185168
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185169
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185170
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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