Displaying 176261-176270 of 1611142 results.
ID:
176261
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
176262
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
176263
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176264
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176265
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176266
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176267
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176268
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176269
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176270
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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