Displaying 183111-183120 of 1611142 results.
ID:
183111
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183112
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183113
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
183114
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183115
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183116
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183117
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183118
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
183119
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183120
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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