Displaying 181811-181820 of 1611142 results.
ID:
181811
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
28
ID:
181812
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
312139
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
181813
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
896110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
181814
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181815
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
181816
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181817
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
181818
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181819
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181820
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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