Displaying 180281-180290 of 1611142 results.
ID:
180281
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
180282
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
180283
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
180284
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
180285
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
180286
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
180287
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180288
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180289
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539885
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180290
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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