Displaying 180841-180850 of 1611142 results.
ID:
180841
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
859315
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
180842
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
180843
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180844
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199167
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180845
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180846
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
763181
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180847
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
763179
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180848
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
763185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180849
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180850
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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