Displaying 183051-183060 of 1611142 results.
ID:
183051
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
183052
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
183053
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183054
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183055
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183056
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
183057
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183058
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183059
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183060
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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