Displaying 186811-186820 of 1611142 results.
ID:
186811
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186812
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
186813
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186814
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186815
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186816
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186817
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
186818
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186819
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186820
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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