Displaying 176641-176650 of 1611142 results.
ID:
176641
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176642
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176643
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176644
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176645
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176646
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176647
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176648
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176649
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
176650
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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