Displaying 183151-183160 of 1611142 results.
ID:
183151
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183152
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183153
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
183154
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183155
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
183156
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183157
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183158
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183159
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183160
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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