Displaying 176511-176520 of 1611142 results.
ID:
176511
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176512
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
176513
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176514
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176515
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176516
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176517
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176518
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176519
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176520
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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