Displaying 1181-1190 of 1611142 results.
ID:
1181
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1182
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1183
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1184
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1185
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
1186
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
1187
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
1188
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
1189
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
1190
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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