Displaying 185181-185190 of 1611142 results.
ID:
185181
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185182
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185183
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
185184
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185185
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185186
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185187
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
37
Qty Limit Days:
30
ID:
185188
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
185189
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185190
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
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