Displaying 179931-179940 of 1611142 results.
ID:
179931
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179932
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179933
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
179934
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179935
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179936
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
702296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179937
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179938
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179939
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179940
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
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