Displaying 185881-185890 of 1611142 results.
ID:
185881
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185882
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185883
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185884
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185885
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
185886
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
185887
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
185888
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185889
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185890
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2288433
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
30
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