Displaying 182151-182160 of 1611142 results.
ID:
182151
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182152
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182153
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182154
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182155
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182156
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182157
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182158
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182159
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
182160
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
30
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