Displaying 176321-176330 of 1611142 results.
ID:
176321
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176322
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
176323
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
176324
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
176325
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176326
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176327
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176328
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176329
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176330
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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