Displaying 181371-181380 of 1611142 results.
ID:
181371
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181372
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
181373
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181374
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181375
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181376
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181377
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181378
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181379
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181380
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
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