Displaying 180571-180580 of 1611142 results.
ID:
180571
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180572
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180573
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
180574
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000093
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
180575
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180576
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180577
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180578
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180579
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180580
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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