Displaying 176731-176740 of 1611142 results.
ID:
176731
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176732
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176733
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176734
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176735
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176736
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176737
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176738
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
176739
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
176740
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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