Displaying 176741-176750 of 1611142 results.
ID:
176741
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176742
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176743
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176744
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176745
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176746
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176747
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176748
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176749
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176750
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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