Displaying 176341-176350 of 1611142 results.
ID:
176341
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176342
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176343
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
176344
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
176345
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176346
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176347
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
176348
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
176349
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176350
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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