Displaying 176411-176420 of 1611142 results.
ID:
176411
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176412
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
176413
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057205
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176414
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176415
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176416
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176417
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
176418
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176419
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176420
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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