Displaying 185941-185950 of 1611142 results.
ID:
185941
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185942
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185943
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185944
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185945
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185946
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185947
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
185948
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185949
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185950
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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