Displaying 181741-181750 of 1611142 results.
ID:
181741
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181742
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181743
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181744
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181745
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
181746
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181747
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181748
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
181749
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
181750
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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