Displaying 181771-181780 of 1611142 results.
ID:
181771
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181772
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
181773
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
181774
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
181775
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
181776
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
201185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181777
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
181778
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
181779
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
181780
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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