Displaying 183211-183220 of 1611142 results.
ID:
183211
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183212
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183213
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
183214
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
183215
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
183216
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
183217
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183218
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1867544
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183219
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183220
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2107518
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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