Displaying 181901-181910 of 1611142 results.
ID:
181901
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181902
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181903
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181904
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115012
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
181905
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
181906
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181907
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181908
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181909
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
181910
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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