Displaying 185491-185500 of 1611142 results.
ID:
185491
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
185492
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
185493
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
185494
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
185495
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185496
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
185497
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185498
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185499
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185500
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
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