Displaying 183161-183170 of 1611142 results.
ID:
183161
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861568
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183162
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
692576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183163
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
692578
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183164
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
ID:
183165
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183166
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
183167
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183168
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183169
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183170
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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