Displaying 176241-176250 of 1611142 results.
ID:
176241
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176242
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176243
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
106892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176244
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
847254
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176245
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
847213
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176246
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176247
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
847189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176248
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
847199
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176249
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176250
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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