Displaying 176481-176490 of 1611142 results.
ID:
176481
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
180
ID:
176482
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
176483
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176484
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176485
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
212957
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176486
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176487
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
176488
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176489
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176490
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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