Displaying 176491-176500 of 1611142 results.
ID:
176491
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176492
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176493
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176494
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176495
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176496
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176497
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176498
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
176499
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
176500
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
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