Displaying 181601-181610 of 1611142 results.
ID:
181601
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181602
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181603
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181604
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181605
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181606
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181607
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181608
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181609
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181610
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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