Displaying 181761-181770 of 1611142 results.
ID:
181761
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
181762
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181763
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181764
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181765
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181766
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181767
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181768
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181769
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181770
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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