Displaying 176221-176230 of 1611142 results.
ID:
176221
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
176222
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
176223
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
176224
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
176225
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176226
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176227
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176228
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176229
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176230
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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