Displaying 176451-176460 of 1611142 results.
ID:
176451
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176452
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
180
ID:
176453
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
176454
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
176455
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
176456
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176457
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
176458
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176459
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176460
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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