Displaying 180971-180980 of 1611142 results.
ID:
180971
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180972
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180973
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180974
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180975
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180976
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180977
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180978
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180979
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
180980
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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