Displaying 186731-186740 of 1611142 results.
ID:
186731
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186732
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186733
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186734
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
284201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
186735
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
351134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
186736
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
186737
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
186738
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186739
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186740
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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