Displaying 180181-180190 of 1611142 results.
ID:
180181
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180182
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180183
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
359493
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
180184
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
359494
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
180185
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180186
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180187
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180188
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180189
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
180190
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1303736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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