Displaying 181351-181360 of 1611142 results.
ID:
181351
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181352
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181353
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181354
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181355
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181356
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181357
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
181358
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
181359
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
181360
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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