Displaying 182161-182170 of 1611142 results.
ID:
182161
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
182162
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
182163
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
182164
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716063
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
182165
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716067
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
182166
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716071
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
182167
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716075
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
182168
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
182169
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716090
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
182170
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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