Displaying 182091-182100 of 1611142 results.
ID:
182091
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182092
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182093
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182094
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
182095
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
182096
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
182097
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
182098
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
182099
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
182100
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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