Displaying 180011-180020 of 1611142 results.
ID:
180011
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
672152
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
180012
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
180013
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
180014
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180015
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180016
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180017
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180018
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
180019
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180020
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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