Displaying 185221-185230 of 1611142 results.
ID:
185221
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185222
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
185223
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
185224
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
185225
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
185226
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185227
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
185228
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
185229
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
185230
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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