Displaying 177021-177030 of 1611142 results.
ID:
177021
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177022
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177023
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177024
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177025
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177026
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
177027
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
177028
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177029
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
177030
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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