Displaying 176471-176480 of 1611142 results.
ID:
176471
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176472
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176473
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176474
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176475
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176476
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176477
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176478
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176479
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
176480
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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