Displaying 176461-176470 of 1611142 results.
ID:
176461
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
ID:
176462
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
176463
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
176464
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
176465
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176466
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
176467
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176468
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
176469
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176470
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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