Displaying 185231-185240 of 1611142 results.
ID:
185231
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185232
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185233
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185234
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185235
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185236
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185237
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185238
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
185239
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185240
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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