Displaying 185761-185770 of 1611142 results.
ID:
185761
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185762
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185763
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185764
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185765
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185766
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
185767
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
185768
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
185769
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
185770
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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