Displaying 182871-182880 of 1611142 results.
ID:
182871
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
182872
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182873
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182874
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182875
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182876
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182877
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
182878
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
182879
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182880
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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