Displaying 186651-186660 of 1611142 results.
ID:
186651
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186652
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
186653
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186654
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186655
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186656
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186657
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186658
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186659
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186660
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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