Displaying 179921-179930 of 1611142 results.
ID:
179921
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179922
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179923
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179924
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179925
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179926
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179927
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179928
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179929
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
179930
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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