Displaying 182131-182140 of 1611142 results.
ID:
182131
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
182132
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182133
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182134
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182135
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182136
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
182137
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182138
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182139
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182140
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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