Displaying 176751-176760 of 1611142 results.
ID:
176751
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176752
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176753
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1539885
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176754
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176755
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176756
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176757
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176758
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176759
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176760
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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