Displaying 181301-181310 of 1611142 results.
ID:
181301
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181302
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181303
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181304
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
181305
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
181306
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181307
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181308
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181309
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181310
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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