Displaying 182801-182810 of 1611142 results.
ID:
182801
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182802
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182803
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182804
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182805
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182806
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182807
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182808
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182809
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182810
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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