Displaying 179961-179970 of 1611142 results.
ID:
179961
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
179962
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179963
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
179964
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179965
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179966
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179967
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
ID:
179968
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
179969
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
179970
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
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