Displaying 176421-176430 of 1611142 results.
ID:
176421
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176422
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176423
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176424
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
176425
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176426
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176427
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176428
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
176429
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176430
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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