Displaying 180241-180250 of 1611142 results.
ID:
180241
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180242
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180243
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180244
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180245
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180246
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180247
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180248
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180249
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
180250
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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