Displaying 186171-186180 of 1611142 results.
ID:
186171
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186172
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186173
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186174
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
186175
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
186176
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
186177
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
186178
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186179
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186180
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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