Displaying 176821-176830 of 1611142 results.
ID:
176821
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176822
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176823
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176824
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176825
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176826
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176827
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176828
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176829
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176830
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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