Displaying 176771-176780 of 1611142 results.
ID:
176771
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176772
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176773
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176774
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176775
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176776
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176777
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176778
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176779
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176780
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
903879
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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