Displaying 181801-181810 of 1611142 results.
ID:
181801
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
181802
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
181803
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
181804
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181805
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
ID:
181806
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181807
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
181808
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181809
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181810
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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