Displaying 181241-181250 of 1611142 results.
ID:
181241
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181242
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181243
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181244
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
854905
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181245
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
854901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181246
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181247
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181248
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181249
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181250
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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