Displaying 180151-180160 of 1611142 results.
ID:
180151
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180152
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180153
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180154
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180155
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180156
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180157
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180158
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180159
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180160
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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