Displaying 176761-176770 of 1611142 results.
ID:
176761
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176762
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176763
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176764
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176765
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176766
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176767
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176768
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
176769
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
176770
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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