Displaying 185961-185970 of 1611142 results.
ID:
185961
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
185962
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
185963
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185964
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185965
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185966
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185967
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185968
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185969
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185970
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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