Displaying 185981-185990 of 1611142 results.
ID:
185981
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
831252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185982
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185983
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185984
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185985
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185986
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
185987
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
185988
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
185989
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
185990
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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