Displaying 180471-180480 of 1611142 results.
ID:
180471
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180472
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180473
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180474
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180475
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180476
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180477
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180478
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180479
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180480
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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