Displaying 181791-181800 of 1611142 results.
ID:
181791
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181792
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
181793
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
181794
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
181795
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
181796
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181797
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
181798
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181799
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181800
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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