Displaying 186321-186330 of 1611142 results.
ID:
186321
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
186322
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
186323
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186324
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186325
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
186326
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
186327
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186328
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368012
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
186329
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368398
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
186330
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368391
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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