Displaying 183221-183230 of 1611142 results.
ID:
183221
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183222
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
183223
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
183224
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
183225
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
183226
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183227
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183228
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183229
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183230
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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