Displaying 181461-181470 of 1611142 results.
ID:
181461
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181462
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181463
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181464
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181465
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181466
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181467
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
181468
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
126
Qty Limit Days:
28
ID:
181469
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181470
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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