Displaying 179581-179590 of 1611142 results.
ID:
179581
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179582
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
179583
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
179584
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
179585
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
179586
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179587
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179588
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
179589
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
179590
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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