Displaying 176441-176450 of 1611142 results.
ID:
176441
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176442
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176443
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176444
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176445
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176446
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176447
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176448
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176449
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176450
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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