Displaying 181051-181060 of 1611142 results.
ID:
181051
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
902741
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181052
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
902729
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181053
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
902736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181054
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1306898
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181055
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181056
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181057
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181058
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181059
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181060
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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