Displaying 181691-181700 of 1611142 results.
ID:
181691
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
993755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4500
Qty Limit Days:
30
ID:
181692
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181693
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923432
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181694
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
578018
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181695
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
477391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181696
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181697
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181698
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181699
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181700
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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