Displaying 185781-185790 of 1611142 results.
ID:
185781
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185782
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
185783
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
185784
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
185785
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185786
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185787
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185788
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185789
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185790
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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