Displaying 180251-180260 of 1611142 results.
ID:
180251
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180252
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180253
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
180254
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
180255
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
180256
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
180257
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180258
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180259
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180260
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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