Displaying 180831-180840 of 1611142 results.
ID:
180831
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
180832
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
180833
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
180834
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180835
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180836
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180837
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180838
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180839
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180840
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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