Displaying 179951-179960 of 1611142 results.
ID:
179951
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179952
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179953
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179954
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
179955
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179956
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179957
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179958
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
180
ID:
179959
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
179960
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
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