Displaying 176621-176630 of 1611142 results.
ID:
176621
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
176622
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
176623
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
176624
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176625
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176626
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176627
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176628
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176629
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176630
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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