Displaying 181011-181020 of 1611142 results.
ID:
181011
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
977939
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
181012
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
977942
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
181013
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181014
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181015
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181016
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181017
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181018
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181019
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181020
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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