Displaying 185511-185520 of 1611142 results.
ID:
185511
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
185512
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
185513
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185514
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
185515
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185516
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
185517
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185518
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185519
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185520
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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