Displaying 183361-183370 of 1611142 results.
ID:
183361
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183362
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183363
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183364
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183365
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183366
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183367
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183368
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1491634
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183369
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
183370
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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