Displaying 185741-185750 of 1611142 results.
ID:
185741
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
212218
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185742
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
185743
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185744
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185745
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185746
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185747
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
185748
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
185749
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185750
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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