Displaying 181401-181410 of 1611142 results.
ID:
181401
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181402
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181403
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181404
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181405
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181406
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181407
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181408
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181409
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181410
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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