Displaying 181701-181710 of 1611142 results.
ID:
181701
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181702
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
181703
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181704
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181705
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181706
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181707
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181708
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
181709
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181710
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
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