Displaying 176611-176620 of 1611142 results.
ID:
176611
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176612
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176613
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176614
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176615
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176616
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176617
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176618
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176619
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176620
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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