Displaying 180551-180560 of 1611142 results.
ID:
180551
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180552
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180553
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
180554
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180555
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180556
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1855389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180557
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
728550
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
180558
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180559
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180560
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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