Displaying 176891-176900 of 1611142 results.
ID:
176891
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176892
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176893
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
176894
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
176895
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176896
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176897
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176898
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
176899
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176900
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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