Displaying 176991-177000 of 1611142 results.
ID:
176991
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176992
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176993
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176994
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
176995
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
176996
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
176997
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176998
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
176999
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1855389
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177000
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
728550
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
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