Displaying 185731-185740 of 1611142 results.
ID:
185731
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185732
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185733
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185734
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185735
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185736
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
185737
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205923
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185738
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185739
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205912
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185740
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
28
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