Displaying 182081-182090 of 1611142 results.
ID:
182081
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182082
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182083
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
182084
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
182085
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
182086
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182087
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182088
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182089
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182090
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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