Displaying 185201-185210 of 1611142 results.
ID:
185201
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
185202
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
185203
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185204
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
185205
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185206
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185207
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
ID:
185208
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185209
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185210
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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